HomeMy Public PortalAbout4851ALESSANDRO AVE_Building (3) 78A838A CE#803 8 63APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS oS 5
BUILDING AND SAFETY DIVISION LOCALITY 1
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T OF BUILDING CROSS STAA o
DISTRI T NO GROUP TYPE P ESSED BY
FOR APPLICANT TO FILL IN A CONST ) L—of—A.
BUILDING 5 STATISTICAL CLASSIFICATION SE ER MAP
ADDRESS ` e K G
CLASS NO DWELL UNITS
LOT NO BLOCK WATER
CERTIFICATE NOT REQUIRED RECEIVED
TRACT MAP HIGHWAY
NO OF SLOGS ! NO (CIRCLE) STATE MAJOR SECOND OCAL
SIZE OF LOT NOW ON LOT USE ZONE SPECIAL
USE OF �/j CONDITIONS
EXISTING BLDG S/ A/ r� SEL
OWNER f I5 NO L :l.J� Lrl EXIST
�+ SETBACK YARD HWY STREET NAME WIDTH
ADDRESS -415.51 S Q {- FRONT n
ARCHITECT OR TEL P L
ENGINEER SIDE
P L
ADDRESS O
TEL O V
CONTRACTO /E Z)glnpl*\bNO 52y
py Iw
ADDRESS ,2 / I�/E Q
DESCRIPTION OF WORK F ri
a
V1
NEW D LTER REPAIR DEMOLISH Z
SQ FT NO OF NO OF
SIZE ��J� STORIES / FAMILIES
USE OF r
STRUCTURE
SIGNATURE OF
APPLICANT
VALUATION $ 3<9 G
APPROVALS DATE INSPECTOR S SIGNA,TL RE
PCPMTFOUNDATION LOCATION A / ^
FEE $ FEE $ ,5�� FORMS MATERIALS 10115-
44
FRAME FIRE STOPS )vI/D /4
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS �.(J// r
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK p y �
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA �L`AT.kI INT� T �! �t�irGd� ``1% .l✓fi
TION OF THE LABOR CODC OF THE ST�K�-
LAT K
ING TO WORKMEN S MPENSA ION INSJt'�/d Aw. �IT A4teo ^7R
LATH EXT //
SIGNATURE O HOUSE NUMBER COR -------
PERM
_
PERMITTEE / RECT AND POSTED '7 / A
ADDRESS FINAL
PLAN CHECK VALIDATION CK MO CASH JOHN F LEWIS PRINCIPAL ST RAL ENGINEER
PERMIT VALIDATION CK
M D CASH
L1L0 4 4 1 0 SEP 3 0 1 D
15,00-
M ti�
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